Individual
KELSEY GRAINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5600
Mailing address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-5600
(724) 430-5463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2081
WV
363A00000X
Physician Assistant
Primary
MA061108
PA
Other
Enumeration date
07/18/2017
Last updated
12/13/2020
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